Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX.
Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Semin Radiat Oncol. 2018 Jun;28(3):194-200. doi: 10.1016/j.semradonc.2018.02.004.
Tumor motion can lead to uncertainties in delivered dose to patients and undesirable outcomes. Motion management has become an integrated component of the standard of care for moving tumors in external beam radiotherapy with the development of novel imaging and treatment techniques in the past 2 decades. This article reviews the use of advanced and functional imaging to guide target delineation, considerations for margin selections, technique for accounting for and mitigation of tumor motion in treatment planning and delivery, and motion management in radiation therapy.
肿瘤运动可能导致患者接受的剂量不确定和不良后果。在过去 20 年中,随着新型成像和治疗技术的发展,运动管理已成为外照射放射治疗中移动肿瘤的标准治疗的一个组成部分。本文综述了先进和功能成像在指导靶区勾画、边界选择考虑因素、治疗计划和治疗中肿瘤运动的处理和缓解技术以及放射治疗中的运动管理中的应用。